Morgunov N, Baines A D
Am J Physiol. 1981 Jan;240(1):F75-81. doi: 10.1152/ajprenal.1981.240.1.F75.
To determine which neurotransmitters are released into urine by renal nerves, we either acutely denervated one kidney or stimulated renal nerves by activation of the baroreflex. Acute denervation increased dopamine (DA) and decreased norepinephrine (NE) excretion from the denervated kidney. In contrast, DA excretion decreased and NE excretion increased progressively from the contralateral innervated kidney. Sodium excretion related directly to DA and inversely to NE excretion. In chronic denervation experiments, baroreceptor stimulation increased NE excretion by 25% more from the innervated kidney than from its contralateral denervated mate, while DA excretion increased by 50% only from the innervated kidney. Baroreflex-stimulated NE and DA excretion from innervated kidneys was reduced by prior feeding of a low salt diet. The response was completely abolished by a high salt diet. Sodium excretion increased by the same proportion from innervated and chronically denervated kidneys following baroreceptor stimulation. In conclusion, 1) renal nerves release both NE and DA, 2) after acute unilateral denervation sodium excretion related directly with DA and inversely with NE excretion, and 3) urinary excretion of NE and DA derived from renal nerves was influenced by dietary sodium intake.
为了确定哪些神经递质由肾神经释放到尿液中,我们要么对一侧肾脏进行急性去神经支配,要么通过激活压力反射来刺激肾神经。急性去神经支配使去神经支配肾脏的多巴胺(DA)排泄增加,去甲肾上腺素(NE)排泄减少。相反,对侧受神经支配的肾脏中,DA排泄减少,NE排泄逐渐增加。钠排泄与DA直接相关,与NE排泄呈负相关。在慢性去神经支配实验中,压力感受器刺激使受神经支配肾脏的NE排泄量比其对侧去神经支配的肾脏多增加25%,而DA排泄仅在受神经支配的肾脏中增加50%。预先给予低盐饮食会减少压力反射刺激引起的受神经支配肾脏的NE和DA排泄。高盐饮食会使这种反应完全消失。压力感受器刺激后,受神经支配和慢性去神经支配的肾脏中钠排泄增加的比例相同。总之,1)肾神经释放NE和DA;2)急性单侧去神经支配后,钠排泄与DA直接相关,与NE排泄呈负相关;3)源自肾神经的NE和DA的尿排泄受饮食钠摄入的影响。